# Pain in Homebound Older Adults: Association With Race and Ethnicity and Neighborhood Socioeconomic Deprivation

> **NIH NIH P30** · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · 2022 · $295,000

## Abstract

ABSTRACT
The Mount Sinai Older Adults Independence Center grant (P30AG028741) aims to examine the relationship of
pain to quality of life, independence, function, and disability in older adults in general. The purpose of this
proposal, for an administrative supplement to P30AG028741, is to expand the focus of the parent grant to
characterize pain in a nationally representative sample of homebound older adults, assess disparities by race
and ethnicity, and examine the impact of neighborhood socioeconomic deprivation on pain. There are over 7
million homebound older adults in the US. Despite having significant multimorbidity and high risk of
hospitalization and mortality, just 11% of this population access medical care in the home. New models of home-
based care, including home-based palliative care, are needed to address the complex needs of this population
and should be informed by robust epidemiological studies in nationally representative samples. Given its
prevalence, impact on well-being, and ready availability in national surveys, pain is an ideal metric to estimate
the need for home-based palliative care in homebound older adults. To date, there have been no studies
characterizing pain and its disparities in a nationally representative sample of older adults. Guided by a
conceptual model informed by the National Institute of Minority Health and Health Disparities Research
Framework, our proposed study aims to characterize pain in a nationally representative sample of homebound
older adults and specifically examine (i) the association between race and ethnicity and pain; and (ii) the
association between neighborhood socioeconomic deprivation and pain. The study sample will be drawn from
the nationally representative National Health and Aging Trends Study and include 1730 older adults classified
as homebound in 2015. In this cross-sectional study, we will undertake bivariate and multivariable analyses of
survey data from the National Health and Aging Trends Study and linked data from American Community Survey
to examine the association between race and ethnicity, neighborhood socioeconomic deprivation (measured as
census tract Social Deprivation Index), and self/proxy-reported pain. This proposal directly addresses the
objectives of the Notice of Special Interest (NOSI, NOT-AG-22-005) in enhancing understanding of the
mechanisms (individual, neighborhood) underlying the pain experience, informing strategies to prevent and
manage pain, and addressing equity in pain among homebound older adults. The study will be the first to
examine pain in a nationally representative sample of homebound older adults and represents an important first
step towards characterizing the symptom needs of homebound older adults and expanding the evidence base
to plan home-based palliative care. The results will provide important insights into disparities in pain in this
population and the association between neighborhood socioeconomic deprivation and symptoms. Additi...

## Key facts

- **NIH application ID:** 10615445
- **Project number:** 3P30AG028741-13S1
- **Recipient organization:** ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
- **Principal Investigator:** R. Sean Morrison
- **Activity code:** P30 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $295,000
- **Award type:** 3
- **Project period:** 2010-06-01 → 2025-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10615445

## Citation

> US National Institutes of Health, RePORTER application 10615445, Pain in Homebound Older Adults: Association With Race and Ethnicity and Neighborhood Socioeconomic Deprivation (3P30AG028741-13S1). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10615445. Licensed CC0.

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